Acne  is a common skin condition that can affect both children and adults. In fact, 80-90% of teenagers suffer from acne.   There are several factors that can cause or worsen acne: inflammation, bacteria, follicular plugging or “sticky skin cells”, and hormones are the most common.   Genetics and certain medications may also play a role.

Because several processes cause acne, treatment often requires the use of several medications to target the different aspects of acne formation.   It is important to treat acne to help prevent the  scarring  which can result if left untreated.

If you are having difficulties with acne, schedule an appointment at Riverside Dermatology to receive an evaluation and customized treatment plan to help you achieve the best results.

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Dermatitis / Eczema


Dermatitis is often a red, scaly, itchy rash that can occur on different parts of the body. Some of the more common types of dermatitis are discussed below.

Atopic Dermatitis or eczema is often seen in young children. Approximately 10-15% of children will experience some degree of eczema in infancy or early childhood. Often kids will outgrow this type of eczema. In babies, scaly red areas are commonly seen on cheeks, arms and legs. As children age, eczema tends to become more concentrated in the folds of the arms and legs.

Asteotic Eczema is seen more often in adults. It is related to dry skin  that is often unresponsive to the application of lotion alone. This type of eczema is often exacerbated with exposure to colder, dryer climates.

Contact Dermatitis  comes in two forms: allergic and irritant. Allergic contact dermatitis is due to contact with a substance to which you have developed an allergy. Poison ivy and poison oak are types of allergic contact dermatitis. Contact dermatitis can be caused by many potential allergens in the environment including fragrances, preservatives, metals (i.e. nickel) and medications. Patch testing (a type of allergy testing usually performed by a dermatologist) can be helpful to identify the allergens causing the rash.

Irritant contact dermatitis can look very similar to an allergic contact dermatitis. However, irritation rather than allergy leads to development of this rash. For example, frequent hand washing or harsh chemicals can cause an irritant eczema on your hands.

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Hair Loss

Hair loss can be caused by a variety of different factors including genetic, autoimmune (alopecia areata), and environmental.   Hair loss of up to 100 hairs per day is normal.   Excessive hair loss can be evaluated by dermatologists who have training in treating not only skin but hair and nail disorders as well.

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Molluscum contagiosum is a contagious viral infection that is extremely common in children, but also appears in adults. It is similar to warts in that both are caused by a virus. However, molluscum is caused by a different strain of virus (the pox family). Molluscum typically causes small, pink bumps that can range in number from one to hundreds of lesions.

There are various treatment options available for molluscum including observation. Often, molluscum tends to follow a benign course.   Please understand that mild scarring may occur from these lesions, with or without treatment.

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Psoriasis is a common skin condition that affects approximately 2% of the population. There does appear to be some genetic influence to developing this condition and several factors may worsen the rash. Smoking and obesity have been linked to psoriasis. You cannot catch or spread psoriasis to other people. Psoriasis is a chronic problem. This means that your psoriasis will never be cured but can be controlled with medications and other therapies.

Psoriasis is a red scaly rash that most commonly involves the scalp, elbows, knees, hands, feet, and buttocks. Sometimes psoriasis can involve joints that can lead to a painful condition known as psoriatic arthritis. There are many treatment options for psoriasis depending on the severity, duration, and previous treatments employed.

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Rosacea is a common condition of the skin.   Up to 10% of the population is affected. Though rosacea tends to occur more often in fair-skinned adults, this condition can be seen in any skin type and in all age ranges. The exact cause of rosacea is unknown. Typically there is redness of the nose and cheeks but the forehead and chin may also be involved. Tiny broken blood vessels (telangiectasias) and acne bumps can also occur.   Flushing of the face and a gritty feeling to the eyes can also be symptoms of rosacea.  Sunlight (ultraviolet light) is one of the most common triggers of rosacea.   For this reason, people with rosacea should wear a sunscreen daily. Temperature, hot foods, spicy foods and alcohol can also be triggers. People with rosacea often have sensitive skin and, as such, some products may cause itching or burning with application.

Improvement in rosacea takes several weeks with consistent treatment regimen. Please be patient during any treatment process.

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Skin Cancer

Approximately one in five Americans will develop some type of skin cancer over the course of their lifetime. Skin cancers most commonly occur on areas that are frequently exposed to the sun but can also occur on sun protected areas as well. With early detection, most skin cancers are treatable.

The most common types of skin cancer are basal cell carcinoma, squamous cell carcinoma, and melanoma. Actinic keratoses are lesions which can be precursors to non-melanoma skin cancers. While basal cell carcinomas are the most common, melanomas are typically the most dangerous.

Basal cell carcinomas (“BCCs”) are the least serious of the three types of cancer. They are rarely life threatening but can be extremely disfiguring if left untreated.

Squamous cell carcinomas (SCCs) tend to be more locally destructive but in some cases may spread internally and can be life threatening if ignored.  Treatment options depend on the type and extent of the skin cancer.  Signs of possible skin cancer include: painful or itchy lesions, non- healing lesions, lesions that bleed easily or are growing or changing color.

While regular check-ups with your physician are important, you should also perform self-checks regularly for melanoma.

Just remember  A-B-C-D-E!

  • Asymmetry: If both sides of a lesion don’t match, then it needs to be evaluated by a dermatologist.
  • Border: Poorly defined or irregular borders may be a worrisome sign.
  • Color: Multiple colors in a single lesion, such as differing shades of brown, black, tan, or red can be concerning.
  • Diameter: Often melanomas are larger than a pencil eraser (6mm), but they may sometimes be smaller if detected early.
  • Evolving: Rapid or significant changes in shape, size, color, or elevation, or a new symptom, such as itching, crusting or bleeding, is cause for concern.   If any lesion is evolving, you should consult your dermatologist.

If you have a lesion that you are concerned about, please call our office to schedule an appointment for an evaluation. Once a biopsy is performed, we are happy to discuss the results and diagnosis with you. Should any questions arise, our office is always just a phone call away, and we are happy to discuss any concerns you may have.

It has been proven that ultraviolet light, whether from natural exposure or tanning beds, plays a role in developing most skin cancers and contributes to aging and the appearance of fine lines and wrinkles.   In order to help prevent the development of skin cancer and keep your youthful glow, sun protective measures must be taken. We recommend wearing a sunscreen with an SPF 30 or greater on sun exposed areas daily.   Everyone has significant exposure even walking in and out of buildings as well as while driving.   For long periods in the sun it is important to reapply throughout the day and to try to stay in a covered shady area if possible. Avoidance of tanning beds is advised to prevent premature aging and skin cancers.   A variety of sun protective clothing is a readily available and now a fashionable option.

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Surgical Procedures

The providers at Riverside Dermatology are experienced in the surgical aspect of dermatology.

If you have a skin cancer, we will help you decide what the best treatment option is for your specific needs.   As a patient, you will receive the highest quality of care in a friendly environment.   Some cancers may require a referral to another surgeon. If your cancer requires treatment from another practitioner, our office will facilitate that referral for you.

While surgery is most commonly needed to remove skin cancer, Riverside Dermatology is also equipped to remove cysts, fatty growths, and other benign lesions.

If you have any questions regarding removal of cancerous or non-cancerous lesions on your skin, please call our office to schedule an appointment.


Warts are extremely common. They most often appear as painless skin growths that are caused by a virus infecting the skin cells. In most people the immune system will eventually clear the virus leading to resolution of warts, but it can take months to years. Warts can be difficult to treat; however, there are many different options available to help clear your warts. No singular treatment works for everyone, and it usually takes multiple visits to exterminate the warts completely. We will help you determine the best treatment option(s) for you or your child.

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